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NPI Code Detail

MEDICARE: ANISSA M NEIRA BCBA

MEDICARE: ANISSA M NEIRA BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-24-72267FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174010433
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANISSA M NEIRA BCBA
Provider Business Mailing Address
First Line : 16860 EASTHAMPSTEAD RD APT 102
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-7832
Country : US
Telephone Number : 786-234-1740
Fax Number :
Provider Business Practice Location Address
First Line : 120 E BELLE ST
Second Line :
City : HENDERSON
State : NC
Zip : 27536-4502
Country : US
Telephone Number : 252-272-2933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2018
Last Update Date : 12/08/2025

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